| NPI | 1487696266 |
|---|---|
| Doing Business As | ADVANCED SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RANDY DAUZAT Pharmacy Manger 337-264-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA 5601) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-08-06 |